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Maine rates for HCPCS 55801

Prostatectomy Perineal Subtotal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.79 / $1,091.79 / $1,884.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,065.14 / $15,647.20 / $17,644.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,266.55 / $1,452.04 / $2,293.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,299.82 / $1,636.18 / $2,344.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.69 / $1,565.71 / $2,401.88
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.79 / $1,091.79 / $1,884.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,306.94 / $1,623.54 / $2,397.00